AKAlev Yıldırım Keskin

Alev Yıldırım Keskin

*This is an algorithmically generated author record based on publicly available information.

Current Organizations / Institutes

The organizations/institutes from the scholar's latest article


Alev Yıldırım Keskin has a total of 22 co-authors. Here are the top co-authors by number of shared publications:


Latest Publications

  • The Effect of Taboo® and Kahoot Educational Games on Critical Thinking and Achievement Motivation Levels of Nursing Students

    by Alev Yıldırım Keskin, Birsel Molu

    Objective: This study aimed to evaluate the effect of the Taboo® game and Kahoot game adapted to the course on students' critical thinking skills and achievement motivation levels in the Infectious Diseases Nursing course. Methods: The study was conducted in a quasi-experimental, pre-test-post-test design.Results: The study was conducted with 73 nursing students (n=36 Taboo® game groups, n=37 Kahoot game groups) studying in the nursing department of a university in Turkey and taking the Infectious Diseases Nursing course. There was a statistically significant difference in the pretest and posttest knowledge mean scores between the Kahoot game group and the Taboo® game group (p < 0.05). A statistically significant difference was also found in the total mean scores of the Marmara Critical Thinking Scale and Achievement Motivation Scale of the Kahoot game group (p < 0.05).Conclusion: Taboo® and Kahoot educational games affected students' critical thinking skills and achievement motivation levels. In this direction, it can be recommended to use educational games as in-class teaching techniques to increase the adaptation of nursing students to changing scientific and technological advances.

  • A Review of Theses on Complementary and Supportive Medicine Practices for Patients with Diabetes Mellitus: A Systematic Review

    by Şengül Akdeniz, Alev Yildirim Keskin

    Aim: The aim of this study was to examine nursing theses on complementary and supportive medicine practices for patients with Type 2 Diabetes Mellitus (Type 2 DM) in Turkey and to guide future related studies and nursing practices.Materials and Methods: The data in the study were obtained by searching the keywords “diabetes”, “complementary”, “supportive treatment”, “holistic complementary and supportive treatment”, “integrative treatment”, “nursing”, “acupressure”, “massage”, “aromatherapy”, “reflexology”, “reiki”, “yoga”, “herbal treatment” in the database of the National Thesis Center of the Council of Higher Education after a literature review. As a result of the search, 11 theses written between 1994 and 2023 in the Institute of Health Sciences, Department of Nursing were identified, and the information of the theses were accessed.Results: According to the results of the study, complementary and supportive medicine practices were found to be effective in the symptoms of individuals diagnosed with diabetes mellitus (neuropathic pain, sleep and quality of life, anxiety, hope, cognitive functions, lowering/stabilizing blood glucose levels, psychological relief).Conclusion: It was concluded that complementary and supportive medicine practices such as acupressure, aromatherapy (inhalation/scent), reflexology foot massage), herbal therapy were used in patients with Type 2 DM. These practices were found to have positive effects on blood sugar regulation, neuropathic pain, sleep and quality of life, anxiety, hope, cognitive functions, and psychological relaxation.

  • The Effect of Anxiety Levels of Patients with Respiratory Diseases on Their Attitudes Towards Complementary Therapies During The COVID-19 Pandemic Period

    by Sibel Şentürk, Alev Yildirim Keskin, Şule Sarızayim

    Aim: This study aims to determine the effect of anxiety levels of patients with respiratory diseases on their attitudes towards complementary therapies during the COVID-19 pandemic period. Material and Method: This descriptive cross-sectional study was included with 352 chest patients. Data were collected using the "Patient Information Form" developed by the researchers, the Coronavirus Anxiety Scale (C19P-S), and the Attitude Towards Complementary Therapies Scale (ACTS). Statistical analyses were performed using descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, and the Spearman Correlation test. Results: The total scores of the patients with respiratory diseases were 0.67±1.06 on the C19P-S Scale and 16.40±4.60 on the ACTS Scale. It was found that 43.5% of the patients had a respiratory system disorder for 6-10 years and 46.0% had bronchitis. It was determined that patients with respiratory disease frequently experienced shortness of breath and the alternative treatment method they utilized to prevent attacks was 86.9% herbal treatment method. In the study, a significant relationship was determined between the mean scores of the ACTS and the mean scores of the C19P-S (p<0.05). Conclusion: The study found that patients experiencing higher levels of anxiety showed an increased use of complementary methods during the pandemic. It is observed that health policies are necessary to promote the development of accurate attitudes towards the utilization of complementary methods as well as interventions to reduce the anxiety of patients with respiratory diseases.

  • Open Access

    A Review of Nursing Thesis on Complementary and Supportive Medicine Practices for Patients with Osteoarthritis: A Systematic Review

    by Alev Yildirim Keskin, Deniz Zeynep Sönmez

    The aim of this study was to examine nursing thesis on complementary and supportive medicine practices for patients with osteoarthritis (OA) in Türkiye and to guide future related studies and nursing practices. The data in the study were obtained by searching the keywords “osteoarthritis”, “complementary”, “alternative treatment”, “holistic complementary and alternative treatment”, “integrative treatment”, “nursing”, “acupress”, “massage”, “aromatherapy”, “reflexology”, “reiki”, “yoga, ‘herbal treatment’ in the database of the National Thesis Center of the Council of Higher Education after a literature review. A total of 359 thesis were reached as a result of screening with keywords. The study included 10 randomized controlled thesis conducted between 1997 and 2024 in the Department of Nursing, Institute of Health Sciences. According to the results of the study, complementary and supportive medicine practices (hot-cold compress application, ginger compress and flaxseed poultice compress application, aromatherapy massage (St. John's wort oil, black cumin oil, nettle-ginger oil, olive oil), acupressure application and reflexology were found to be effective in pain, fatigue, functional capacity, quality of life, self-efficacy symptoms of individuals diagnosed with osteoarthritis. It was concluded that complementary and supportive medicine practices such as hot and cold compress application, acupressure, aromatherapy (massage) application, and herbal treatment were used in patients with osteoarthritis. These practices were found to have positive effects in reducing pain, increasing self-efficacy and quality of life, decreasing mobility limitation and improving functional status in patients with osteoarthritis.

  • Open Access

    “Crab Mentality Among Academic Nurses: If I Can’t Do It, You Can’t Do It.”

    by Birsel Molu, Alev Yıldırım Keskin, Sibel Şentürk

    Aim: This study aims to explore academic nurses’ perceptions and experiences about crab mentality, as well as how they experience and cope with its challenges. Material and Method: This study adopted a phenomenological design, a qualitative research method. The study was conducted between April 10 and May 10, 2022. The sample consisted of 15 academic nurses from two universities. Data were collected through in-depth interviews using a semi-structured interview form. Descriptive statistics were used to analyze the quantitative data, while the qualitative data were analyzed using qualitative data analysis software. Results: Participants had a mean age of 40.20 ± 4.19 years and an average of 16.93 ± 5.67 years of work experience. The interviews revealed four main themes and ten subthemes. The results showed that participants experienced physiological, emotional, and social problems due to crab mentality in their workplaces, driven by rivalry, jealousy, and resentment. Conclusion: Crab mentality is prevalent among academic nurses. Therefore, authorities should develop interventions to create an ethical environment where managers and employees can communicate effectively. Working in an environment with crab mentality can harm academic nurses both psychologically and physically. Prolonged exposure to high-stress environments can lead to chronic stress, fatigue, and burnout, which negatively affect physical health by weakening the immune system and increasing vulnerability to stress-related illnesses. Research highlights the link between chronic stress and reduced productivity, as well as decreased job satisfaction. Implementing stress management strategies in the workplace can prevent these adverse effects, improving employee well-being, work efficiency, and overall organizational performance.


  • Open Access

    Self-Management Perceptions and Death Concerns of Patients with Diabetes Mellitus

    by Alev Yıldırım Keskin, Halil İbRahim Tuna, Enes Günhan

    Aims: In this study, it was aimed to determine the death anxiety and diabetes self-management perceptions of Diabetes Mellitus (DM) patients. Methods: This descriptive and cross-sectional study was conducted with 351 DM patients. As a data collection tool in the research; Patient Diagnosis Form, Death Anxiety Scale, and Diabetes Self-Management Perception Scale were used. Results: It was determined that 50.1% of the DM patients participating in the study were in the 36-64 age range, 67% were female, and 39.3% had death anxiety. It was found that the death anxiety scale mean score of the patients was 9.24±3.70 and the diabetes self-management perception scale mean score was 24.84±3.28. It was determined that the self-management of the primary school graduates was significantly higher than those who did not develop acute complications and those who did not develop acute complications (p


  • The Effect of Mobile Application Follow‐Up on Treatment Compliance and Self‐Care Management in Patients With Hypertension: Randomized Controlled Trial

    by Alev Yildirim Keskin, Nurhan Özpancar Şolpan, Hasan Değirmenci

    Background: Hypertension (HT) is a global health problem. Although there are effective treatment protocols, patients have difficulty in adapting to regular use of drugs, diet, and lifestyle changes. Mobile apps can be a potential alternative for managing HT and improving self‐care behavior.Purpose: This study aimed to determine the effect of mobile application follow‐up on treatment compliance and self‐care management in patients with HT.Methods: This randomized controlled trial was conducted in November 2021 and March 2022 with 40 experimental and 40 control group patients with HT. Research data were collected using a patient information form, “Hill‐Bone Hypertension Treatment Compliance Scale (HBHTTCS),” “Hypertension Self‐Care Profile‐Motivation Scale (HTSPMS),” a mobile application program (daily blood pressure, pulse, medication, diet, exercise tracking) uploaded to the mobile phones of the patients, and individual motivational messages.Results: The mean total score of the HBHTTCS at Week 6 was 14.57 ± 1.89 and the mean total score of the HTSPMS was 78.15 ± 2.05. There was a statistically significant difference in mean total HTSPMS (p = 0.000) and HBHTTCS (p = 0.000) scores and mean scores on medical (p = 0.002) and nutrition (p = 0.002) subscales of HBHTTCS between the first interview (1st‐week follow‐up) and the last interview (6th‐week follow‐up) of patients in the intervention group.Conclusions: This study showed that mobile application follow‐up increased motivation levels and treatment compliance in patients with HT and resulted in better self‐care. These positive findings indicate importance of integrating mobile applications in the disease management of HT patients.Trial Registration: ClinicalTrials.gov ID: NCT05334446, https://clinicaltrials.gov/ct2/show/NCT05334446.


  • Open Access

    Challenges Faced by Nurses Working in Palliative Care Centers

    by Sibel Özdemir Özmen, Alev Yıldırım Keskin

    Objective: This study was conducted to determine the difficulties experienced by nurses working in palliative care centers. Methods: Data were collected using the descriptive "Personal and Professional Introductory Information Form" prepared by the researcher and the "Palliative Care Difficulties Scale (PCDS)". In the evaluation of the data; numbers, percentages and means, Independent t-test, One Way ANOVA test, Mann Whitney U test, Kruskal-Wallis test, Spearman Correlation test, and simple linear regression analysis test were used. The significance level of statistical tests was accepted as p